Understanding Infant Head Bumps: Causes, Concerns, and Treatments
Regarding swelling of the infant's head? Hello, Doctor! My son is over 7 months old. At birth, we noticed a hard protrusion on the back of his head, and recently it seems to have grown larger (or perhaps it's due to head growth?), and it appears somewhat red. We recentl...
Dr. Zhang Junwei Reply:
Cerebral cysts may be congenital and are generally unrelated to bony lesions.[Read More] Understanding Infant Head Bumps: Causes, Concerns, and Treatments
Understanding the Differences Between Concussions and Brain Contusions
What is the difference between a concussion and a cerebral contusion? What is the difference between a diagnosis of concussion and a diagnosis of a cerebral contusion? Is there a potential risk of developing dementia as a result? What tests should be conducted at the time to conf...
Dr. Zhang Junwei Reply:
Concussion refers to a temporary alteration in consciousness or memory following a head injury. Contusions often accompany bleeding.[Read More] Understanding the Differences Between Concussions and Brain Contusions
Post-Car Accident Head Issues: Understanding Concussion Symptoms and Recovery
Head injuries after a car accident? Hello Dr. Chang, It has been almost a month since I was involved in a car accident. I was riding my motorcycle when a car making a U-turn hit the left side of my vehicle. At the time, I was conscious and was thrown about half the height of th...
Dr. Zhang Junwei Reply:
Yes, this is post-concussion syndrome. It requires plenty of rest for self-improvement, and there is no need for an MRI.[Read More] Post-Car Accident Head Issues: Understanding Concussion Symptoms and Recovery
Head Injury Symptoms: When to Seek Medical Attention After a Fall
Head issues I would like to ask the doctor, I fell off my bicycle on a rainy day, and my head and face directly hit the road. My left cheek also scraped against the road for a few seconds. It was very painful at the moment, but I thought I was fine and did not seek any treatment....
Dr. Zhang Junwei Reply:
Common sequelae of head trauma can be evaluated in a neurosurgery outpatient clinic.[Read More] Head Injury Symptoms: When to Seek Medical Attention After a Fall
Why Can't I Raise My Right Pinky? Exploring Nerve Issues and Solutions
Inability to lift the little finger of the right hand? With both palms placed on the table, the left little finger can be raised, but the right little finger cannot be lifted. The movement of the right little finger feels tight and restricted (it can only move downward and cannot...
Dr. Zhang Junwei Reply:
Please schedule an appointment with orthopedics for suspected tendinitis.[Read More] Why Can't I Raise My Right Pinky? Exploring Nerve Issues and Solutions
Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Severe palmar-plantar hyperhidrosis? Since entering high school, I often experience excessive sweating in my hands and feet, whether I'm using my phone, engaging in social activities, or riding a bike—the grips are always wet, which is very bothersome. My hands are always da...
Dr. Lai Zhaokang Reply:
Hello, currently the only definitive treatment is thoracoscopic surgery. However, there is a risk of compensatory sweating as a side effect. Unless you are truly suffering and can accept the potential long-term consequences, I suggest you think carefully. It is also advisable to ...[Read More] Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps
Numbness and tingling in the left foot accompanied by a burning sensation on the dorsum of the foot? Dear Dr. Lai, I have an 82-year-old elder at home who has been experiencing numbness in the left leg (from behind the left knee to the sole of the foot) for about ten years. Addi...
Dr. Lai Zhaokang Reply:
Hello: Based on what you mentioned: 1. After the surgery, the symptoms of soreness and burning sensation have not improved at all. Are there any other possible causes? 2. We live in New Taipei City; do you have any recommended hospitals, doctors, specialties, or treatment methods...[Read More] Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps
Understanding One-Sided Headaches: Causes and When to Seek Help
Headache issues Hello, doctor. I've been experiencing intermittent headaches for the past five years, and they always occur on one side. When I have a headache, the neck on that side also hurts, and sometimes the pain feels like it's cramping. My eyes also feel uncomfor...
Dr. Zhang Junwei Reply:
It may be a migraine; please consult a neurologist.[Read More] Understanding One-Sided Headaches: Causes and When to Seek Help
Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?
My wife is currently recovering after surgery for a brain aneurysm? Hello, doctor: My wife has successfully undergone surgery for a brain aneurysm and is currently recovering. I would like to ask how long it will take before she can engage in sexual intercourse, or if it will be ...
Dr. Zhang Junwei Reply:
Please consult the surgeon for details about the unknown medical condition.[Read More] Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?
Traveling with a Pituitary Tumor: Safety Tips and Dietary Advice
Precautions Regarding Pituitary Tumors Hello Dr. Chang: I would like to ask if having a 0.2 cm benign tumor above the pituitary gland (currently being monitored without surgery) would affect flying abroad. Aside from monitoring examinations, are there any specific dietary (nutrit...
Dr. Zhang Junwei Reply:
There is no impact, and there are no specific precautions needed in daily life.[Read More] Traveling with a Pituitary Tumor: Safety Tips and Dietary Advice
Understanding Back Pain: Insights on Muscle Strain and Treatment Options
Back pain Hello Doctor: Recently, I have been experiencing tightness in my neck and shoulders while sleeping, which has affected my sleep quality. Last week, I suddenly felt a significant pain in the area near my right scapula close to the spine. The pain intensifies whenever I l...
Dr. Lai Zhaokang Reply:
Hello: It may be a cervical spine issue causing nerve compression. Please seek medical attention. Best wishes from Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Back Pain: Insights on Muscle Strain and Treatment Options
Should You See a Doctor for Persistent Dizziness After a Head Injury?
If you hit your head and are experiencing persistent dizziness afterward, it is advisable to go to the hospital for an evaluation? About half a month ago, I slipped and fell, causing my legs to slide outward like I was on ice skates, and I hit my head directly on the ground. At t...
Dr. Lai Zhaokang Reply:
Hello: It has been half a month. It is recommended to consult a neurosurgeon. Best wishes to you. // Neurosurgery Dr. Lai Chao-Kang.[Read More] Should You See a Doctor for Persistent Dizziness After a Head Injury?
Can Sympathetic Nerves Be Reconnected After Surgery?
Can the sympathetic nerves in the chest be reconnected? I underwent T4 sympathetic nerve resection for hyperhidrosis in June of this year, which has resulted in severe compensatory sweating and weakness in my hands and feet. After resting for three months, I returned to work, but...
Dr. Lai Zhaokang Reply:
Hello: In Taiwan, hand sweat surgery has been regulated for many years, requiring careful preoperative evaluation and approval from health insurance units before proceeding. This is due to the fact that many patients experience similar issues, such as compensatory sweating. If yo...[Read More] Can Sympathetic Nerves Be Reconnected After Surgery?
Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...
Dr. Lai Zhaokang Reply:
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
Understanding a Painless Spine Bump: Causes and Concerns
There is a painless bump on the back of the spine that is not causing any discomfort? There is a protrusion on my spine that is not painful and I am unaware of it because I was walking on the street when a colleague pointed it out. I would like to ask a doctor why there is this b...
Dr. Lai Zhaokang Reply:
Hello, a written description is not as effective as seeing a doctor in person. It is recommended to consult a physician, specifically a neurosurgeon or an orthopedic surgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding a Painless Spine Bump: Causes and Concerns
Persistent Numbness and Pain After Finger Injury: What to Know
Pinching your fingers can cause pain and numbness? Hello Doctor: About a week ago, I accidentally got my left index finger caught in a machine at work. I went to see an orthopedic specialist and had an X-ray, which showed no bone injury. However, the area that was pinched has bee...
Dr. Lai Zhaokang Reply:
Hello: If the orthopedic X-ray shows no signs of fractures, finger movement is smooth, and there is no obvious pallor or bruising, it is likely just a muscle, fascia, or periosteal contusion. It has been a week, so you can try applying heat and using anti-inflammatory ointment. M...[Read More] Persistent Numbness and Pain After Finger Injury: What to Know
Does Timing of Brain Hemorrhage Diagnosis Affect Treatment Outcomes?
If a cerebral hemorrhage is discovered more than 12 hours after onset, will the treatment differ? A 47-year-old male was brought to the emergency department at 9:40 AM, initially believing the incident occurred that morning. After emergency evaluation, he was admitted to the inte...
Dr. Zhang Junwei Reply:
1. The first question is unclear and difficult to answer. 2. With diligent rehabilitation, it is usually possible to recover more than half, but complete recovery is more challenging.[Read More] Does Timing of Brain Hemorrhage Diagnosis Affect Treatment Outcomes?
Understanding Chronic Subdural Hematoma: Risks and Recovery After Head Injury
Chronic subdural hematoma Hello Doctor, on October 7th, I fell off my bike after hitting a pothole while traveling at 30 km/h. I landed on my shoulder first, resulting in a closed fracture of my right clavicle. I also hit my head on the ground, but it wasn't a hard impact, a...
Dr. Zhang Junwei Reply:
In my over ten years of medical practice, I have never encountered a 19-year-old with chronic subdural hematoma.[Read More] Understanding Chronic Subdural Hematoma: Risks and Recovery After Head Injury
Understanding Brain Hemorrhage Risks After Trauma: Key Insights
Possible conditions of intracerebral hemorrhage? Hello, doctor. I apologize for the interruption. In mid-June, my husband was involved in a collision with a woman nearly 60 years old. At that time, the woman only had an abrasion on her elbow, and she was sitting on the ground wit...
Dr. Zhang Junwei Reply:
It is possible for intracranial hemorrhage to occur after a car accident, even if there were no immediate injuries at the time of the incident. However, the pattern of the hemorrhage observed on a CT scan can help determine whether the bleeding was caused by trauma or if it was a...[Read More] Understanding Brain Hemorrhage Risks After Trauma: Key Insights
Understanding Head Trauma: When to Seek Medical Attention
Head trauma Hello Dr. Chang! About 6 to 7 years ago, I accidentally hit the center of my head against the faucet while showering. At that time, there was a small amount of bleeding from the wound, but I did not seek medical attention, and it healed naturally. Since then, I have o...
Dr. Zhang Junwei Reply:
Please visit the outpatient clinic to have the wound examined for proper assessment.[Read More] Understanding Head Trauma: When to Seek Medical Attention